ATI PHARMACOLOGY TEST 1, ATI Capstone Pharmacology, ATI
NCLEX Pharmacology Assessment 1
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long
half-life of 4 days. How many times per day should the nurse expect to administer this medication?
One
A staff educator is reviewing medication dosages and factors that influence medication metabolism
with a group of nurses at an in-service presentation. which of the following factors should the
educator include as a reason to administer lower medication dosages?
-liver failure
-Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the
nurse take?
-Ask the client to look up at the ceiling
-Drop the medication into the center of the client's conjunctival sac
-Instruct the client to close her eye gently after instillation
A nurse is completing discharge teaching for a client who has new prescription for transdermal
patches. Which of the following statements should the nurse identify as an indication that the client
understands the instructions?
I will apply the patch to an area of skin with no hair
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of
he client's medication. which of the following actions should the nurse take?
Obtain a blood specimen immediately prior to administering the next dose of medication
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines?
-maintain skill competency
-monitor for adverse effects
-safeguard medications
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescription?
Routine
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting
for a client who has hyperemesis
gravidarum. The nurse should clarify which of the following parts of the prescription with the
provider?
Frequency
A nurse is admitting a client and completing a preassessment before administering medications.
Which of he following data should the nurse include in the preassessment?
-use of herbal teas
-current heath status
-food allergies
,A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
prescription. Which of the following statements should the nurse identify as an indication that the
newly licensed nurse understands the process?
Another nurse should listen to the phone call
A nurse in a clinic is caring for group of clients. The nurse should contact the provider about a
potential contraindications to a medication for which of the following clients?
-A client who takes prednisone and has a possible fungal infection
-A client who has chronic liver disease and is taking hydrocodone/acetaminophen
-A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. the
client states she took penicillin 3 years ago and developed a rash. which of the following actions
should the nurse take?
withhold the medication
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. which of the following statements should the nurse give?
change positions slowly when you move form sitting to standing
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. the nurse should recognize that the
medication affected which of the following systems?
central nervous
a nurse is caring for a client who is taking oral oxycodone. the client states he is also taking ibuprofen
in three recommended doses daily. the nurse should identify that an interaction between these two
medications will cause which of the following finding?
an increase in the expected therapeutic effect of both medications
A nurse is teaching a client who has anemia and a new prescription for a liquid iron supplement.
which of the following information should the nurse include in the teaching?
-add foods that are high in fiber to your diet
-rinse your mouth after taking the medication
-add red meat to your diet
A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. which
of the following herbal supplements should the nurse report to provider?
kava
a nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. which
of the following clients require folic acid therapy?
-24 year old female who has no heath problems
-55 year female who has alcohol use disorder
, a nurse preparing to administer potassium chloride IV to a client who has hypokalemia. which of the
following actions should the nurse take?
-infuse medication through a large-bore needle
-implement cardiac monitoring
-administer the infusion using an IV pump
a nurse is caring for a client who requests information on the use of feverfew. which of the following
responses should the nurse make?
it can decrease the frequency of migraine headaches
A nurse is completing an assessment of a client's current medications. the client states she also takes
gingko biloba. which of following medications is contraindicated for a client taking gingko biloba?
warfarin
a nurse is caring for a client who is receiving morphine, what assessment is priority
RR
a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma,
what is the priority to report to the provider
bronchospasms
a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use
with an albuterol inhaler for asthma maintenance, what should the nurse instruct?
you should gargle with water after each use of this inhaler
We have an expert-written solution to this problem!
a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about
anticholinergic adverse effects?
blurred vision
tachycardia
constipation
a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info
regarding the action of guaifenesin should the nurse include in the teaching?
guaifenesin increases cough production
a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. the
nurse should monitor the client for which of the following outcomes as therapeutic response to the
medication?
decreased anginal pain
a nurse is providing teaching to a client who has a new prescription for levothyroxine, which
statement indicates understanding of the teaching?
"i might not realize the full effect of the medication for several weeks"
take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast
NCLEX Pharmacology Assessment 1
A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long
half-life of 4 days. How many times per day should the nurse expect to administer this medication?
One
A staff educator is reviewing medication dosages and factors that influence medication metabolism
with a group of nurses at an in-service presentation. which of the following factors should the
educator include as a reason to administer lower medication dosages?
-liver failure
-Concurrent use of medication the same pathway metabolizes
A nurse is preparing to administer eye drops to a client. Which of the following actions should the
nurse take?
-Ask the client to look up at the ceiling
-Drop the medication into the center of the client's conjunctival sac
-Instruct the client to close her eye gently after instillation
A nurse is completing discharge teaching for a client who has new prescription for transdermal
patches. Which of the following statements should the nurse identify as an indication that the client
understands the instructions?
I will apply the patch to an area of skin with no hair
A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of
he client's medication. which of the following actions should the nurse take?
Obtain a blood specimen immediately prior to administering the next dose of medication
A nurse is preparing a client's medications. Which of the following actions should the nurse take in
following legal practice guidelines?
-maintain skill competency
-monitor for adverse effects
-safeguard medications
A nurse reviewing a client's health record notes a new prescription for lisinopril 10 mg PO once every
day. The nurse should identify this as which of the following types of prescription?
Routine
A nurse is reviewing a new prescription for ondansetron 4 mg IV bolus PRN for nausea and vomiting
for a client who has hyperemesis
gravidarum. The nurse should clarify which of the following parts of the prescription with the
provider?
Frequency
A nurse is admitting a client and completing a preassessment before administering medications.
Which of he following data should the nurse include in the preassessment?
-use of herbal teas
-current heath status
-food allergies
,A nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone
prescription. Which of the following statements should the nurse identify as an indication that the
newly licensed nurse understands the process?
Another nurse should listen to the phone call
A nurse in a clinic is caring for group of clients. The nurse should contact the provider about a
potential contraindications to a medication for which of the following clients?
-A client who takes prednisone and has a possible fungal infection
-A client who has chronic liver disease and is taking hydrocodone/acetaminophen
-A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy
A nurse is preparing to administer an IM dose of penicillin to a client who has a new prescription. the
client states she took penicillin 3 years ago and developed a rash. which of the following actions
should the nurse take?
withhold the medication
A nurse is providing discharge instructions for a client who has a new prescription for an
antihypertensive medication. which of the following statements should the nurse give?
change positions slowly when you move form sitting to standing
A nurse is reviewing a client's health record and notes that the client experiences permanent
extrapyramidal effects caused by a previous medication. the nurse should recognize that the
medication affected which of the following systems?
central nervous
a nurse is caring for a client who is taking oral oxycodone. the client states he is also taking ibuprofen
in three recommended doses daily. the nurse should identify that an interaction between these two
medications will cause which of the following finding?
an increase in the expected therapeutic effect of both medications
A nurse is teaching a client who has anemia and a new prescription for a liquid iron supplement.
which of the following information should the nurse include in the teaching?
-add foods that are high in fiber to your diet
-rinse your mouth after taking the medication
-add red meat to your diet
A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. which
of the following herbal supplements should the nurse report to provider?
kava
a nurse is evaluating a group of clients at a health fair to identify the need for folic acid therapy. which
of the following clients require folic acid therapy?
-24 year old female who has no heath problems
-55 year female who has alcohol use disorder
, a nurse preparing to administer potassium chloride IV to a client who has hypokalemia. which of the
following actions should the nurse take?
-infuse medication through a large-bore needle
-implement cardiac monitoring
-administer the infusion using an IV pump
a nurse is caring for a client who requests information on the use of feverfew. which of the following
responses should the nurse make?
it can decrease the frequency of migraine headaches
A nurse is completing an assessment of a client's current medications. the client states she also takes
gingko biloba. which of following medications is contraindicated for a client taking gingko biloba?
warfarin
a nurse is caring for a client who is receiving morphine, what assessment is priority
RR
a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma,
what is the priority to report to the provider
bronchospasms
a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use
with an albuterol inhaler for asthma maintenance, what should the nurse instruct?
you should gargle with water after each use of this inhaler
We have an expert-written solution to this problem!
a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about
anticholinergic adverse effects?
blurred vision
tachycardia
constipation
a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info
regarding the action of guaifenesin should the nurse include in the teaching?
guaifenesin increases cough production
a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. the
nurse should monitor the client for which of the following outcomes as therapeutic response to the
medication?
decreased anginal pain
a nurse is providing teaching to a client who has a new prescription for levothyroxine, which
statement indicates understanding of the teaching?
"i might not realize the full effect of the medication for several weeks"
take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast
